NPIMap

Organization Active NPI

Audacity of Hope Behavioral Health LLC

  • Health Maintenance Organization
  • Baltimore, MD
National Provider Identifier
1689078057
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
AUDACITY OF HOPE BEHAVIORAL HEALTH LLC
Practice address
2211 Maryland Ave
Baltimore, MD 21218-5627
Phone
(410) 246-0600
NPI assigned
Oct 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Renardo Foster
Title
Ceo
Phone
(410) 246-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

2211 Maryland Ave
Baltimore, MD 21218-5627

Mailing address

2211 Maryland Ave
Baltimore, MD 21218-3529
Phone (410) 246-0600

Other names 1

  • Audacity of Hope Behavioral Health LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Audacity of Hope Behavioral Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1689078057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183529",
            "telephone_number": "410-246-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185627",
            "telephone_number": "410-246-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDACITY OF HOPE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "RENARDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-246-0600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audacity of Hope Behavioral Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.